Para or Gravida

[NiesyLuv0o]

I was filling out my care sheet while doing L&D rotation. If a woman just delivered and she already had a 2yr old child, would I fill it out as multigravida (which is true) or multipara since she now had the 2nd child full term. Also while auscultating, a low murmur was heard. In our book, it is considered normal. However, some of my classmates think we should notify the doctor so he/she would know. I would document it, but would not be so alarmed about it since it is expected. Am i on the right path?

Thanks in advance for assistance.

BTW...I love my L&D clinical roatation. L&D nurses, neonate nurses and all the nurses caring for mother and child are awesome!!!

[cnm in progress]

Not an OB nurse, but miscarriages are counted under abortions. A miscarriage is considered a spontaneous abortion.

Yep...

T=term (37+ weeks)

P=preterm (less than 37 weeks)

A=abortions (spontaneous & therapeutic)

L=living children

M=multiple pregnancies

[LauraLiz]

Whether it's an elective abortion or a spontaneous abortion, it still falls under the A section. It still counts as a pregnancy for the purpose of counting the 'gravida' status.

Now, talking about stillbirths, it is completely dependent on gestation. Any pregnancy ending at under 20 weeks' gestation is considered (or under 500g weight) a miscarriage (goes in the A category) and does not count as a 'para.'

20 weeks and higher counts as a para, regardless of whether that child is currently living or not. Anything under 37 weeks is considered preterm, also whether currently alive or not. Stillbirth above 20 weeks/500g is considered a 'para' but not counted in currently living children.

I much prefer GTPAL over G/P, as it clarifies far more and leaves less room for debate.

Awesome, thanks.